K83.1: Obstruction of bile duct
K83.1 is a billable, specific ICD-10-CM code for obstruction of bile duct. It is valid for submission on a claim.
Check K83.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Occlusion of bile duct without cholelithiasis
- Stenosis of bile duct without cholelithiasis
- Stricture of bile duct without cholelithiasis
Excludes1 inherited from the categories above K83.1
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above K83.1
Not part of this code, but both may be coded when both are present.
Risk adjustment
K83.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 68 Cholangitis and Obstruction of Bile Duct Without Gallstones0.388 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
K83.1 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56798Billing and Coding: Vitamin D Assay Testing
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Alphabetic index entries that lead here
- Cholestasis NEC
- Mirizzi's syndrome(hepatic duct stenosis)
- Jaundice›obstructive
- Jaundice›regurgitation
- Obliteration›bile duct(noncalculous)
- Obliteration›common duct(noncalculous)
- Obstruction, obstructed, obstructive›ampulla of Vater
- Obstruction, obstructed, obstructive›bile duct or passage(common) (hepatic) (noncalculous)
- Obstruction, obstructed, obstructive›biliary(duct) (tract)
- Obstruction, obstructed, obstructive›common duct(noncalculous)
- Obstruction, obstructed, obstructive›hepatobiliary
- Occlusion, occluded›bile duct(common) (hepatic) (noncalculous)
Code history
Unchanged in every release from FY2024 to FY2027.